I recently had a patient that her Dr. (a perinatologist) did not want her to breastfeed due to her condition (She lost weight during pregnancy, felt that she was malnourshed, had some complications after delivery). Her baby was in the NICU and he felt the expressing her milk would compromise her too much. We "compromised" by him allowing her to pump 5 min. each breast and when she became engorged, she could pump to "comfort" (That day, she pumped once, obtained 70 ml (20ml which was cream after it separated in the refrigerator). After a great deal of discussion with him, he thinks we should meet and come up with a list of "medically fragile" patients that should not breastfeed (an example of his is a mother who is malnourshished). I won't go into all the things other than I thought it would be very difficult to come up with a list as each mother and her situation is different, and even if a mother us unable to nurse/pump now, it can be started later when her condition is improved but I did tell him I would ask my "lactnet"colleagues as to whether there "is" anyone out there who has developed such a list. So is there some one out there that has a list or additonal suggestions for me. Thanks Rose